Fort Hays State University

STUDENTS:

Future -

Current -

Graduate -

Virtual |

Parents |

Alumni/Friends |

Faculty/Staff/Administration |

TigerTracks

Virtual Campus

Admission information

Financial Aid/Scholarships

Transfer Students

Home-schooled students

International Students

Student Residential Life

Request information

Home > Admission information > Application > U.S. Resident >

Application: Re-entry for former student

Please complete this form

Any questions, contact the Registrar's Office at : Registrar, Fort Hays State University, 600 Park Street, Hays, KS 67601-4099

First Name Last Name Middle Initial

Permanent address (Street and No.)

SS No. City State

Zip Phone Cell Phone

E-mail

I am a:
Male Female

Virtual Student On Campus Student

I plan to enter FHSU I plan to obtain my degree from FHSU Yes No

and major in

City of Birth State Zip
Date of Birth

I am an American citizen a permanent resident alien citizen of (country)

Currently enrolled in college/university? Yes No

If Yes, what university?

Name of Parent/Legal Guardian

Address

City, State, Zip

Education Beyond Secondary School: You are required to list all colleges previously attended and if currently enrolled, the college you are currently attending. Request each institution to mail official transcripts to the Registrar, Fort Hays State University. If currently enrolled, a final official transcript must also be mailed to the Registrar's Office at the conclusion of the semester.

Institution

Address

Dates of Attendance

Cr Hrs Earned

Degree Awarded/Year

RESIDENCY:
Are you a U.S. citizen?
Yes No

If no, country of citizenship:

If you are a permanent resident alien, please provide your alien registration number:

You must provide a copy of your alien registration card to the FHSU Registrar's Office.

Are you a resident of the state of Kansas?
Yes No
If yes, when did you begin living continuously in Kansas?

Are you currently, or have you ever been, on full-time active duty military service?
Yes No
If yes, which branch?
If yes, which base?
If yes, give dates of service: to

If on active duty, is your duty station Kansas?
Yes No
Are you a dependent or spouse of an active full-time military person?
Yes No
Are you or your spouse an employee of a Kansas Regent university or are you a dependent of one?
Yes No
Will you or your spouse or your parents move to Kansas as a result of a job transfer or job recruitment before you enter FHSU?
Yes No

I certify that to the best of my knowledge all statements that I have made on this application are complete and true. Additionally, I have completed the items on this application in their entirety and I will provide FHSU the documents required as a condition of admission and enrollment.



	Copyright © 2002-2008 Fort Hays State University - 600 Park Street, Hays, Kansas 67601-4099 - 785-628-FHSU (3478) Site Map - Contact Webmaster with any questions or comments concerning this Web site.